Elaine Renee Rose, IBCLC

NPI #1003183229 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1003183229
Entity Type: Individual
Name: Elaine Renee Rose, IBCLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Lactation Consultant, Non-RN
Credential: IBCLC
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 12345 HEATHER ST NW
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-1754
Phone: (612) 963-1301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lactation Consultant, Non-RN	174N00000X	Primary

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